ORIGINAL RESEARCH article
Front. Oncol.
Sec. Surgical Oncology
Volume 15 - 2025 | doi: 10.3389/fonc.2025.1655088
This article is part of the Research TopicExploring Robotic-Assisted Techniques in Urologic Oncology: Challenges and Future DirectionsView all 6 articles
First evidence of Retzius-sparing robot-assisted radical prostatectomy with the Versius robotic surgical system
Provisionally accepted
Erika PalagoniaStefano Tappero
Elio Mazzone*Francesco ChierigoCarlo BurattoAlberto CavigliaMichele BarbieriOfir MaltzmanValerio CelliniGiancarlo NapoliAlberto OliveroElena StradaDario Di TrapaniGiovanni PetraliaSilvia SeccoAldo Massimo BocciardiAntonio GalfanoPaolo Dell'oglio- Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milan, Italy
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We describe the first experience of Retzius-sparing robot-assisted radical prostatectomy (RS-RARP) performed with the Versius robotic system (CMR Surgical, Cambridge, UK). Five patients underwent RS-RARP at ASST Grande Ospedale Metropolitano Niguarda (Milan, Italy) between May 2023 and December 2023. All procedures were completed with no complications or need for conversion.No arms collision or technical failure of the system was recorded. The median operative time was 244 minutes (interquartile range [IQR]: 190-300). Median length of stay was three days. Our initial experience suggests that RS-RARP with the Versius robotic system is a feasible procedure. This novel platform provides a flexible system environment that can be easily tailored to all types of surgery.However, some arrangements are still necessary, warranting future investigations in larger series.
Keywords: Retzius-sparing, Prostatectomy, Versius, robotic surgery, prostate cancer
Received: 27 Jun 2025; Accepted: 18 Aug 2025.
Copyright: © 2025 Palagonia, Tappero, Mazzone, Chierigo, Buratto, Caviglia, Barbieri, Maltzman, Cellini, Napoli, Olivero, Strada, Trapani, Petralia, Secco, Bocciardi, Galfano and Dell'oglio. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Elio Mazzone, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milan, Italy
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